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SUDDEN death, as it occurred in the present instance, is not the rule in subacute bacterial endocarditis. Such unexpected death contrasts sharply with the usual protracted course of this disease, so ably described by the late Dr. William Sidney Thayer in his remarkable monograph\*: The disease is often distressingly chronic. Days and weeks and months pass by -every day with its morning of hope and its evening of depression. And the fatigue and the fever and the anorexia continue-moments, days, even weeks of apparent improvement and elation fatally dispelled by ever-recurring aggravations of first one, then another symptom. And slowly and surely the patient loses ground. The anemia increases. Evidences of myocardial insufficiency are added to the symptoms of chronic sepsis. The complexion assumes the peculiar, earthen greyish color, insisted on by Libman. With the advancing renal changes, the anorexia becomes more obstinate, and there is often nausea and vomiting. Edema of the face and dependent parts sets in. Profoundly enfeebled, with pale, grey, anxious face, puffy, transparent eyelids, inert, waxen, bulbous fingers, the patient is harassed by transient hallucinations of vision w

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Publisher

American College of Physicians (ISSN 0003-4819)

Published

1935

Language

EN

Field

Medicine (Health Sciences)